11D0973827 CLIA NUMBER - CCRM ATLANTA

Laboratory Demographics

  • CLIA Code: 11D0973827
  • Facility Name: CCRM ATLANTA
  • Facility Address: 5909 PEACHTREE DUNWOODY ROAD, SUITE 600
    ATLANTA, GA
    ZIP 30328
  • Facility Phone: 770 928-2276
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. RYAN MILLER
  • NPI Number: 1750752580
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 11D0973827
LAB Type Physician Office
Facility Name CCRM ATLANTA
Street 5909 PEACHTREE DUNWOODY ROAD, SUITE 600
City ATLANTA
State GA
ZIP 30328
Phone 770 928-2276
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/30/2024
Certificate Expiration Date 6/29/2026
Facility Type Physician Office
Lab Director DR. RYAN MILLER

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This page was last updated on: 9/29/2025